Individual provider · Type 1 NPI

Nicole L. Wagner, PharmD

Pharmacist · Watauga, TX

NPI number 1164759882 Active

Practice location

6601 Watauga Rd Ste 126
Watauga, TX 76148-3331

Call (817) 702-6634 Map

Fax (817) 702-6604

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X44258 (TX)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1164759882

Nicole L. Wagner, PharmD's National Provider Identifier is 1164759882, issued on Nov 17, 2009. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Watauga, TX. The record was last updated on Nov 17, 2009.